Active NPI
Sunny Kim
- Pharmacist
- Tucson, AZ
National Provider Identifier
1972932358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S020220
- Practice address
- 2854 N Campbell Ave
Tucson, AZ 85719-2811 - Phone
- (520) 327-6767
- Fax
- (520) 321-1368
- NPI assigned
- Nov 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S020220 | AZ | Primary |
Addresses
Primary practice location
2854 N Campbell Ave
Tucson, AZ 85719-2811
Mailing address
115 W Limberlost Dr Apt 3203
Tucson, AZ 85705-2784
Phone (520) 730-8401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S020220 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albertsons LLC | Past | Accepting new patients | |
| Albertsons LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Tucson, AZ
- NPI 1043259427
-
- Community/Retail Pharmacy
- Ardmore, OK
- NPI 1134958457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383609600000",
"number": "1972932358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W LIMBERLOST DR APT 3203",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857052784",
"telephone_number": "520-730-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2854 N CAMPBELL AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857192811",
"telephone_number": "520-327-6767",
"fax_number": "520-321-1368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SUNNY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-05",
"last_updated": "2013-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S020220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.